| NPI | 1669583464 |
|---|---|
| Doing Business As | PAISANO PLAZA LABORATORY |
| Entity Type | Organization |
| Authorized Contact | RAUL RIVERA Director 415-778-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX R30276) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: TX CLIA4501052488) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |